This community-developed framework outlines the importance of Indigenous Social Drivers of Health (ISDOH) in New Mexico, highlights community-developed definitions of health, and advocates for a shift in public health systems. The Yucca offers a visual of the things that help us live a balanced and well life.  

This framework is a tool meant to be adapted for various audiences such as teachers, healthcare workers, Tribal Leaders, policymakers, community members, and others.  

Here are some ways the co-creators of this framework are planning to apply its teachings:

• Create an onboarding training for clinicians about the role of Indigenous Social Drivers of Health in patient care.  

• Share the framework with our local health councils to use in advocacy work

• Provide this as a tool for community health workers to talk about all the things that contribute to health and well-being.

• Connect with the organizations listed in the community highlights each social driver of health.  

We invite you to engage with the framework and apply what is offered in your own workplaces and community spaces. If you have any feedback, please submit it here. This document will continue to grow and highlight the incredible work of our Pueblos, Tribes and Nations in New Mexico.  

Suggested Citation - New Mexico Social Drivers of Health Collaborative. (2026). Rooted in resilience: New Mexico Indigenous Social Drivers of Health Yucca Framework. In nm-sdoh.org.

‍

The logic model presented describes what YesNMConnect expects to achieve with its inputs and activities and a theory of change outlined in process theory maps.

This agreement is being shared through the NMSDOH-C website to ensure ease of access to Collaborative members and build awareness of activities that influence the landscape of closed-loop referral systems in New Mexico.

"THIS INFORMATION TECHNOLOGY AGREEMENT (this “Agreement”) is made by and between the State of New Mexico (the “State”), Health Care Authority, hereinafter referred to as “Procuring Entity” and Aunt Bertha, A Public Benefit Corporation d/b/a Findhelp (vendor 0000182209)."

‍

Watch the February 2026 All-member meeting recording here

This is the third session of the 2025-26 Rooted in Resilience: Healing the Circles within Indigenous Social Drivers of Health Co-Learning Series.

Session Goal: Build knowledge about best practices in applying and evaluating Indigenous Social Drivers of Health

Session Objectives

1.Describe how to use an ISDOH framework to conduct assessments, develop programs, and advocate policies (tribal, county, state, federal).

2.Share examples of organizations applying ISDOH framework for program assessment, program development and policy.

‍

Watch the recording here

‍

This report includes:

• A review of key Collaborative activities from July 2024-July 2025
• Highlights from the 2025 Annual Member Survey
• Future directions for the Collaborative

‍

At our all-member session in December, we heard from four presenters about their closed-loop referral systems and recommendations for how the Collaborative can support these systems in the future.

Description: At this virtual session we heard from Dr. Yolandra Gomez, Bryce Townsend, Kirsten Hansen and Jasmine Meyer about their approaches to integrating Indigenous Social Drivers of Health within the healthcare system.

Goal: Identify and share examples of strategies to Integrate Indigenous Social Drivers of Health within the Healthcare system. 

Objectives 

1. Recognize that an ISDOH framework can address unique cultural and contextual needs and present their effect on health and wellness for American Indian and Alaska Native communities. 

1. Describe ways these new understandings can inform public health practice.

View the recording here.

These slides highlight key information from the Measuring and Strengthening our Impact Report

The DTS and CLRS workgroups developed a recommendation regarding screening tools and practices as the HCA continues its work to launch the statewide closed-loop referral system, Yes New Mexico Connect.

Updates on the NM Cancer Plan, and how YOU can get involved.

The logic model was approved by the Steering Committee at the April 2025 meeting.

This presentation reviews:

What other HIEs are doing with SDOH

SDOH Consensus on Elements

SHARE New Mexico Community Resource Directory

SDOH Assessment Research

Health Equity Map

Presentation from the Indigenous Evaluators Network.

As we continue to grow and strengthen our impact, we invite you to sign the NMSDOH-C Member Pledge. This pledge is a way for voting members to formally affirm our shared commitment to addressing the social drivers of health through collaboration, equity, and community-led solutions. By signing, you or your organization will:

- Demonstrate your commitment to advancing equity and justice

- Support meaningful community-driven collaboration

- Help strengthen systems that promote health and well-being for all

‍

Complete the pledge today and email it to dlucero45@phs.org.

Jaffer provided this presentation at the February 2025 CLRS/DTS workgroup meeting

The Charter was developed by the Charter Workgroup and was originally approved in January 2024. The Charter was then updated and approved in January 2025.

Presentation for CLRS workgroup by Jaffer Traish

This report is a summary of the 2024 NMSDOH-C Learning Circle that occurred on September 9th, 2024.

View the webinar recording

For our final session of the series, presenters will share examples of the impact that incorporating SDOH data into a Health Information Exchange has within New Mexico.

Presenters

Terri Stewart, Chief Executive Officer & President, SYNCRONYS

Toni Grinstead, Senior Program Manager, Community Health, Presbyterian

Jordan Murray, Senior Director, Government Strategy, Unite Us

Julia Jones, VP Network Development and Partnerships, Findhelp

About the Series

During this series we hope to inspire connections between Collaborative members and host a space to share promising and innovative practices happening across New Mexico as they relate to addressing Social Drivers of Health. The topics for this series come from suggestions made by members of the Collaborative and build on discussions from the 2024 Learning Circle.

This document provides responses to the most frequently asked questions about the New Mexico Social Drivers of Health Collaborative. If you have any additional questions, please do not hesitate to contact dlucero45@phs.org.

View webinar recording.

‍

In this session we learn about promising practices in addressing common SDOH issues across the state.

Link to Webinar Recording

‍

Session Description

In this webinar we discuss closed-loop referral systems and share related concepts. We hear from a payor organization to learn from their experience, and learn about key features and implementation approaches in other states.

Presenters

• Emily LaMaster, Director of Medicaid Strategy & Business Innovation, Humana
• Jaffer Traish, Chief Operating Officer, findhelp
• Chris Hollis, Steering Committee Member, New Mexico Social Drivers of Health Collaborative

About the New Mexico Social Drivers of Health Collaborative Fall/Winter Webinar Series

During this series we hope to inspire connections between Collaborative members and host a space to share promising and innovative practices happening across New Mexico as they relate to addressing Social Drivers of Health.

‍

Orientation letter for new members of the NMSDOH-C.

The purpose of this report is to inform the development of a closed loop referral system(CLRS) for the State of New Mexico. The report highlights findings from examining current CLRS efforts across New Mexico, engaging the New Mexico Social Determinants of Health Collaborative(NMSDOH-C) in interviews and a landscape assessment survey, and identifying recommendations from states currently implementing CLRS. This report is a first step in an ongoing effort to bring together community voice to inform the healthcare delivery system and decision-makers in New Mexico and address barriers in connecting individuals to preventive services, social services and treatment.